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FOR OFFICE USE ONLY PERMIT# 151 g67-0i <br /> BUILDING : PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification /�,.�" . �/ <br /> Garage Size Overlay/Agreement y .S$/t l/C 0C <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction - needed before final? - Yes_ Nov <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: ------' <br /> Fire Sprinkler Required Yes_ No_ Phone#: --....----- <br /> Reason App y: Ar Date: 1-71i 1/6 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ,V 4. j I.v School Impact Fee Credit: <br /> Structural Approved By/Date: ' MVV Total School Impact Fee Owed: <br /> Comments: j Comments: <br /> Intake OK ba7//p�Zo�� Intake OK by: Ok to route _ Hold <br /> Make this a"W" ermit? Yes_ No_ �� <br /> PUBLIC WORKS. % - . <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> (2----- <br /> Surcharge High Hazard Sites(DentIh/Medic. , 'nimals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys I /Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Publi orks Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Wor ermit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REV : PW Reviewer: Date: <br /> Water Fee ❑ P Permit Approved-PW <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No / Existing Bldg <br /> Update/New Detection .Yes_ No / , Existing Bldg. <br /> Update/New Chemical Yes_ No / Existing Bldg. _ <br /> Update/New Fir Service Yes_ No / Existing Bldg. <br /> Approved by: L — Date: 7-I? 4`' <br /> Comments: <br />